Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grace MBA

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1720810492

Grace MBA is a Nurse Practitioner in Waldorf, Maryland. Qualified in 2024, 2 years ago. Practices with Oasis of Hope Behavioral Healthcare, a 2-clinician group and accepts Medicare assignment. Licensed in District of Columbia and Maryland.

Years since qualifying
2
Licensed in
DC, MD
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

3261 Old Washington Rd Ste 2020
Waldorf, MD 20602-3231
Phone: (301) 710-4218
Fax: (301) 396-7346
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AC006732 (MD)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence NP500020241 (DC)

Record details

NPI number1720810492
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 20, 2024
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 16, 2026
Mailing address6012 Black Bear Ct, Waldorf, MD 20603-4342

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Oasis Of Hope Behavioral Healthcare — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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